G-AEP-Kriterien - Deutsche Gesellschaft für Gerontologie und ...

CY: England
JID: 9434628
ISSN: 1353-4505
CO: IJQCF
Institution: The Planning and Evaluation Office, Centre Hospitalier et Universitaire Vaudois Lausanne,
Switzerland. patricia.halfon@hospvd.ch
DT: Journal Article
Schlagwörter
CT: DATA COLLECTION; HEALTH SERVICES MISUSE/*STATISTICS & NUMERICAL DATA;
HOSPITAL DEPARTMENTS/UTILIZATION; HOSPITALIZATION/*STATISTICS &
NUMERICAL DATA; HOSPITALS, UNIVERSITY/*UTILIZATION; HUMAN; LENGTH OF
STAY; NEUROLOGY; ROC CURVE; SUPPORT, NON-U.S. GOV'T; SURGERY
DEPARTMENT, HOSPITAL/UTILIZATION; SWITZERLAND; UTILIZATION REVIEW/*
CTG: Datensammlung; Gesundheitsdienste, Mißbrauch/*Statistik & Zahlen;
Krankenhausabteilungen/Verwendung; Krankenhauseinweisung/*Statistik & Zahlen;
Krankenhäuser, Universitäts-/*Verwendung; Mensch; Krankenhausaufenthaltsdauer;
Neurologie; ROC-Kurve; Support, Non-U.S. Gov'T; Chirurgische Abteilung,
Krankenhaus/Verwendung; Schweiz; Nutzungsüberprüfung/*
AB: OBJECTIVE: The systematic use of regular hospital utilization reviews has proved costly,
particularly in countries with short average lengths of stay. This study examines the
performance of three tests based on routinely collected data when screening inappropriate
hospital days. DESIGN: The Appropriateness Evaluation Protocol was used to set the
gold standard. The first screening test was simply based on the comparison of an observed
length of stay with a target value; the second test additionally made allowances for surgical
and intensive care procedures while the third added the amount of required nursing
workload to these data. SETTING: The neurology and general surgery departments of a
Swiss university hospital. PARTICIPANTS: Every day of care for all inpatients stays was
reviewed to assess the appropriateness of hospital use and submitted to the screening
algorithm (9,000 hospital days). MAIN OUTCOME MEASURES: Receiver-operating
characteristics curves were compared to optimize the performance of the screening tests.
The best test was applied to all units of the hospital and rates of inappropriate days were
computed using a Bayesian approach. RESULTS: The first and the second tests have a
sensitivity of 66-80% and a specificity of 66-67%. Nursing workload data yield no significant
improvement of the screening test. An unbiased estimate of the rate of inappropriate days
may be computed. CONCLUSION: The present study provides some evidence that a
screening approach is useful, feasible and efficient for detecting inappropriate hospital days.
4/12 von 41 DIMDI: MEDLINE (ME66) © NLM
ND: 21451177
PMID: 11567203
Autoren: Lombard I; Lahmek P; Diène E; Monnet E; Logerot H; Levy Soussan M; Huet B; Six P; Yeu
C; Lang T
CA: pour le groupe AEP France
Titel: Etude de la concordance inter-observateurs des raisons de non-pertinence des
journées d'hospitalisation identifiée par la version française de l'Appropriateness
Evaluation Protocol (2e partie).
Cause of non-pertinent hospital stays: interobserver concordance using the French
version of the Appropriateness Evaluation Protocol
Quelle: Revue d'epidemiologie et de sante publique; VOL: 49 (4); p. 367-75 /200109/
SU: IM
Sprache: French
CY: France
JID: 7608039
ISSN: 0398-7620
CO: RESPDF
Institution: Hôpital National de Saint-Maurice, Cedex, France.
DT: Journal Article; Multicenter Study; Validation Studies
Schlagwörter
CT: ADULT; AGED; CONCURRENT REVIEW/*METHODS; CONCURRENT
REVIEW/STANDARDS; EFFECT MODIFIERS (EPIDEMIOLOGY); ENGLISH ABSTRACT;
FRANCE; HEALTH SERVICES RESEARCH; HOUSING; HUMAN; LENGTH OF
G-AEP_Bericht_703.doc-22.08.2003-41